Evidence map›Paper›PMID 25022895›Full record

ArticleDer Nervenarzt2015

[Services for the early recognition of psychoses and bipolar disorders in Germany: inventory survey study].

K Leopold, A Nikolaides, M Bauer, A Bechdolf, C U Correll, F Jessen, G Juckel, A Karow, M Lambert, J Klosterkötter and 3 more

Abstract readMulticenter Study
PubMed Publisher
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Article in Der Nervenarzt, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

K LeopoldKlinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
A Nikolaides
M Bauer
A Bechdolf
C U Correll
F Jessen
G Juckel
A Karow
M Lambert
J Klosterkötter
S Ruhrmann
S Pfeiffer
A Pfennig

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn order to successfully implement early recognition and intervention services in psychiatry, it is crucial to improve the attention to and recognition of severe mental disorders and to establish low threshold services that are available at short notice for diagnostic and treatment procedures. MATERIAL AND

methodsFor this inventory survey study, questionnaires regarding the presence and type of early recognition services for psychoses and bipolar disorders were sent separately to German psychiatric hospitals by mail in September and October 2012. Additionally, an internet search and telephone inquiries as well as an alignment of responses from the two surveys and with network lists from published and ongoing early recognition studies were performed.

resultsResponse rates in the psychosis and bipolar disorder surveys were 21 % (51/246) and 36 % (91/255), respectively. Three quarters of participating institutions reported at least an interest in creating an early recognition service for psychoses and one half for bipolar disorders. Overall, 26 institutions were identified that already offer early recognition of psychoses and 18 of bipolar disorders. Of these 16 are low threshold early recognition centres with direct access at short notice for first-episode patients and person from at-risk groups and separate specific public relations work. Of these early recognition centres five have a separate and easy to find homepage available; in an additional 15 institutions the specific websites are part of the institutions homepage.

conclusionDespite widespread interest and the increasingly recognized importance of early recognition and intervention services in psychiatry, there is currently no nationwide coverage with early recognition services for severe mental disorders in Germany. Public relations and information activities are not (yet) sufficiently provided to reach affected persons and their environment. Common standards are (still) missing and interdisciplinary models are sparse. To correct these shortcomings, amongst other factors, acquisition of sufficient funding for such services is required.

Indexed as

Bipolar DisorderDiagnosis, DifferentialEarly DiagnosisEmergency Services, PsychiatricGermanyHealth Care SurveysHospitals, PsychiatricHumansPrevalencePsychotic DisordersUtilization Review

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